NPI | 1770005571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1013894) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MA 1013894) |
208M00000X Hospitalist (Licence: ND 16435) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-07-13 |
Last Update Date | 2025-07-15 |