| NPI | 1912247990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD469204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D85592) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD469204) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2021-12-22 |