| NPI | 1235874389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 58.032786) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 390200000X) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2023-08-11 |