| NPI | 1952797458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 80142) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 80142) |
| 207R00000X Internal Medicine (Licence: GA 008000) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2018-05-24 |