| NPI | 1558983619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT220198) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U7444) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2023-11-03 |