| NPI | 1770005571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MA 1013894) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: MA 1013894) | |
| 208M00000X Hospitalist (Licence: ND 16435) | |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2024-08-15 |