| NPI | 1912114968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME129221) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35121018) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH tc57010556) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-10-27 |