| NPI | 1295264240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT214081) |
| Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: PA MT214081) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2022-06-23 |