| NPI | 1851379309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.012467) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50001871) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2018-06-21 |