| NPI | 1548755572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT216065) |
| 207R00000X Internal Medicine (Licence: PA MT216065) | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2019-08-06 |