NPI | 1811126576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 069239) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 22229) |
390200000X Student in an Organized Health Care Education/Training Program | |
207Q00000X Family Medicine (Licence: GA 69239) | |
Enumeration Date | 2009-07-02 |
Last Update Date | 2017-04-13 |