| NPI | 1487917316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS017506) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT014931) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT014931) | |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2015-09-16 |