| NPI | 1831445295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301510582) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.128368) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 251644) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2024-12-31 |