NPI | 1275767915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD445411) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194926) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT194926) | |
Enumeration Date | 2009-05-11 |
Last Update Date | 2018-04-09 |