| NPI | 1346864113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT221295) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT221295) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2021-04-12 |