| NPI | 1033602214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.014470) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS021136) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2025-06-12 |