NPI | 1912384793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S4916) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX S4916) |
390200000X Student in an Organized Health Care Education/Training Program | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-30 |
Last Update Date | 2024-11-11 |