| NPI | 1154811313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: PA MD472747) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2023-02-10 |