| NPI | 1679868376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD449889) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT200367) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT200367) | |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2014-07-22 |