| NPI | 1912450453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35.142771) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OH 35.142771) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57028179) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2022-10-04 |