| NPI | 1205297397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD486015) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2024-11-17 |