| NPI | 1659699742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD60384475) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197314) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT197314) | |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2016-09-06 |