| NPI | 1548403793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-099539) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 38597) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2015-10-16 |