| NPI | 1912328501 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 50837)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| 208M00000X Hospitalist (Licence: WI 61811-020)  | |
| Enumeration Date | 2013-12-26 | 
| Last Update Date | 2017-01-05 |