| NPI | 1023458080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T2950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD458483) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT204115) | |
| Enumeration Date | 2013-07-04 |
| Last Update Date | 2024-06-20 |