| NPI | 1972956381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 320112) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301117570) |
| 208M00000X Hospitalist (Licence: NH LT4218) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301110372) | |
| 207Q00000X Family Medicine (Licence: NH LT4218) | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2024-06-05 |