NPI | 1215137187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P0828) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD440647) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT190533) | |
Enumeration Date | 2007-07-19 |
Last Update Date | 2014-10-28 |