| NPI | 1073969499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA OS020353) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA 30125450) |
| 207R00000X Internal Medicine (Licence: PA OS020353) | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2021-02-03 |