| NPI | 1982042719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 65579) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 65579) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC LP02737) | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2020-12-09 |