| NPI | 1396275228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD478707) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 61063) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT213578) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2023-07-06 |