| NPI | 1518484690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.150750) |
| 207R00000X Internal Medicine (Licence: PA MT223421) | |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2024-07-24 |