| NPI | 1790986990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME99838) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME99838) |
| 208M00000X Hospitalist (Licence: FL ME99838) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN7302) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2022-07-20 |