| NPI | 1063777886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT202892) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT202892) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2015-05-26 |