| NPI | 1457663239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CT 53994) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 053994) |
| 207R00000X Internal Medicine (Licence: PA MT197837) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2024-09-19 |