| 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 |