NPI | 1972159598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT224937) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.248342) |
Enumeration Date | 2019-08-11 |
Last Update Date | 2022-07-06 |