| NPI | 1730434598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD467466) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: NJ 25MA09446900) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2019-09-19 |