| NPI | 1700330552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 77555) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT211357) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 3013570) | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2024-06-18 |