NPI | 1770015604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 75477) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 292884) |
207R00000X Internal Medicine (Licence: TX s1872) | |
208000000X Pediatrics (Licence: TX s1872) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-30 |
Last Update Date | 2024-06-28 |