| NPI | 1720519812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 60377) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-12048) |
| 207Q00000X Family Medicine (Licence: AR E-12048) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2021-06-01 |