| 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 |