| NPI | 1720531692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 84009) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 279041) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 8795) | |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2020-06-26 |