| NPI | 1669825642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD478409) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D87945) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2023-02-22 |