| NPI | 1477994523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036141088) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT204900) |
| 207R00000X Internal Medicine (Licence: PA MT204900) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2022-11-28 |