| NPI | 1043706021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT216646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA mt216646) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2022-06-15 |