| NPI | 1649707795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MT224391) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 64904) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2022-07-27 |