| NPI | 1780094995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60956527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 32376) |
| 207R00000X Internal Medicine (Licence: WA MD60956527) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2021-04-07 |