| NPI | 1013119023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD442643) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN 17610) |
| 207R00000X Internal Medicine (Licence: GA 062228) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2012-02-02 |