| NPI | 1467748657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD471227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD471227) |
| 208600000X Surgery (Licence: PA MT200560) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY TO BE ISSUED) | |
| Enumeration Date | 2011-06-26 |
| Last Update Date | 2021-08-27 |