| NPI | 1790198109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME DO3102) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS018489) |
| 207R00000X Internal Medicine (Licence: SC 82103) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT015831) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2026-09-17 |