| NPI | 1477798718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N7536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD439947) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT187960) | |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2014-04-28 |