| NPI | 1104676188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57256651) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57256651) |
| 207R00000X Internal Medicine (Licence: OH 57256651) | |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-05-29 |