| NPI | 1861622201 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA MD-44154) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-44154) | 
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-44154) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME112901) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP1-0034029) | |
| Enumeration Date | 2009-07-20 | 
| Last Update Date | 2018-03-17 |