| NPI | 1134640808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD488996) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT226261) |
| 183500000X Pharmacist (Licence: MA PH237398) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2025-07-09 |