| NPI | 1225183882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.132230) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 028304-1) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2018-03-07 |