| NPI | 1831479005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 69645) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 277565) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2019-01-03 |