| NPI | 1679691430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301086061) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301086061) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301086061) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2011-07-08 |