| NPI | 1215341805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301500351) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301112419) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT206833) | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2019-07-03 |