| NPI | 1023438389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD463547) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT205956) |
| 207Q00000X Family Medicine (Licence: PA MT205956) | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2024-04-05 |