| NPI | 1821232919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 254848) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194583) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT194583) | |
| 207R00000X Internal Medicine (Licence: PA MD445195) | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2013-08-21 |