| NPI | 1871021121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS020729) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT018043) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT018043) | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2022-07-21 |