| NPI | 1659018331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 34.017316) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 58.032946) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2025-01-07 |