| NPI | 1043465586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 61792) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.015038) |
| 208000000X Pediatrics (Licence: OH 57.015038) | |
| 207Q00000X Family Medicine (Licence: NY 266243) | |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2019-06-11 |