| NPI | 1275022600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.015869) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD476461) |
| 207R00000X Internal Medicine (Licence: PA OT018226) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2022-06-17 |