| NPI | 1427554682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.146902) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 57.246096) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.146902) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2023-08-17 |