| NPI | 1386905230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD453794) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0012677) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT201249) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2022-03-08 |