| NPI | 1811121569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO DR.0052662) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT194933) |
| 207R00000X Internal Medicine (Licence: PA MT194933) | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2016-01-06 |