| NPI | 1922637909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.147386) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2026-0391) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2026-05-17 |