| NPI | 1942735576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 342468) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 33061) |
| 207R00000X Internal Medicine (Licence: NV 19918) | |
| 208M00000X Hospitalist (Licence: NV 19918) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2024-10-03 |