| NPI | 1235542531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 1117881) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT205904) |
| 207R00000X Internal Medicine (Licence: PA MD461484) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2021-01-20 |