| NPI | 1730676164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS020392) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: SC 83479) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2025-02-19 |