| NPI | 1437310513 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 79413) | 
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036129928) | 
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT192258) | |
| 207R00000X Internal Medicine (Licence: IL 036129928) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036129928) | |
| Enumeration Date | 2008-06-20 | 
| Last Update Date | 2019-09-30 |