| NPI | 1659992147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OT020015) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS022130) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2023-07-14 |