| NPI | 1770935538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: AZ R77483) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: AZ 59339) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT210964) | |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2022-04-29 |