| NPI | 1447872189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA FT3297682) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207Q00000X Family Medicine (Licence: PA MT220376) | |
| 207Q00000X Family Medicine (Licence: PA MD482208) | |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2024-06-02 |