| NPI | 1528406923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX S0542) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 40056) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101279342) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT204561) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX S0542) | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2024-11-14 |