| NPI | 1790948891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD445325) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301092126) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2012-11-21 |