| NPI | 1609087683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57011363) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-03-25 |