| NPI | 1396994869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WA MD60923760) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: HI 15574) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2021-06-02 |