| NPI | 1154908598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.150764) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.150764) |
| 208D00000X General Practice (Licence: OH 35.150764) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2025-09-18 |