| NPI | 1821579434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT218411) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2018018546) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT218411) | |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2023-05-02 |