| NPI | 1053638189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX Q7883) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT196919) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT196919) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD454475) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2016-08-08 |