| NPI | 1770901175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 57.024484) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 1770901175) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2021-12-01 |