| NPI | 1255786430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD480299) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA10919000) |
| 207Q00000X Family Medicine (Licence: IL 036150140) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2023-04-25 |