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 |