| NPI | 1841710233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT237279) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2020-0114) |
| 207R00000X Internal Medicine (Licence: IL 125.069796) | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2026-07-14 |