| NPI | 1548755572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 342512) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT216065) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207L00000X Anesthesiology (Licence: PA MT216065) | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2024-08-15 |