| NPI | 1720243009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS014904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS014490) |
| 207R00000X Internal Medicine (Licence: DC DO034363) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT012448) | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2017-09-07 |