| NPI | 1770873275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: LA MD.207432) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 207432) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2019-01-24 |