| NPI | 1740631621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 278123) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT0177155) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2023-06-14 |