NPI | 1578259867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT022790) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT022790) |
Enumeration Date | 2023-04-11 |
Last Update Date | 2025-09-11 |