| NPI | 1790979607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MO 2012022045) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2012022045) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MO 2012022045) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT191149) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2012022045) | |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2017-01-24 |