| NPI | 1407175342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A125114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197472) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT197472) | |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2013-06-19 |