| NPI | 1396366787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA MD481357) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2023-11-06 |