| NPI | 1316354020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: OH 35.136987) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.024096) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.024096) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2019-10-30 |