| NPI | 1265925754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 315051) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57247787) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2022-12-19 |