NPI | 1730355066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C2-0010048) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208000000X Pediatrics (Licence: PA STATEOS016061) | |
Enumeration Date | 2008-05-06 |
Last Update Date | 2012-06-04 |