| NPI | 1184201840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 34.017541) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.017541) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NE 2704) | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2024-11-20 |