NPI | 1508220765 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD471539) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: NY 295391) | |
Enumeration Date | 2016-04-13 |
Last Update Date | 2020-10-06 |