| 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 |