NPI | 1518173558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD439987) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036122216) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125051391) | |
Enumeration Date | 2007-05-15 |
Last Update Date | 2020-06-10 |