| NPI | 1699345355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT222778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT222778) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2024-07-21 |