| NPI | 1508025511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX S2863) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S2863) |
| 207R00000X Internal Medicine (Licence: MI 4301092718) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2016-01478) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2019-10-31 |