| NPI | 1962820340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY TP496) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101262454) |
| 208M00000X Hospitalist (Licence: GA 81031) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2020-08-27 |