| NPI | 1154558344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD469045) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 26103) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2019-10-09 |