| NPI | 1730496274 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 45975) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 45975) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-09-03 | 
| Last Update Date | 2021-08-03 |