| NPI | 1407149602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD454452) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT199662) |
| 207R00000X Internal Medicine (Licence: PA MT199662) | |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2016-07-25 |