NPI | 1548673585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD458677) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10017700) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA10017700) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-06-07 |
Last Update Date | 2024-04-09 |