| NPI | 1619549458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT223645) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2025-07-06 |