| NPI | 1215558499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD481018) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT220666) | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2023-07-15 |