NPI | 1932534419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: ND PT14164) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND PT14164) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: ND RL12764) | |
Enumeration Date | 2013-09-04 |
Last Update Date | 2021-06-16 |