NPI | 1003346933 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 331252) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD469781) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT213543) | |
Enumeration Date | 2017-06-13 |
Last Update Date | 2024-09-06 |