| NPI | 1326577230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 34.015771) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.015771) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC LL40750) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2022-09-15 |