NPI | 1144849027 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: PA MT221460) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT221460) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-10 |
Last Update Date | 2023-07-06 |