| NPI | 1902067614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD451392) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01069382A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT192898) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2022-09-07 |