| NPI | 1336760230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD481205) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: PA MT219890) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT219890) | |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2023-06-01 |