| NPI | 1992918957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NH RT3638) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 042.0012809) |
| 207Q00000X Family Medicine (Licence: MT 11276) | |
| 208M00000X Hospitalist (Licence: VT 042.0012809) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-07-15 |