| NPI | 1386955755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT198145) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2011-06-10 |