| NPI | 1760829360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 076397) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-8989) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AR E-8989) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2022-05-08 |