| NPI | 1083768154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 35.120973) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 59514) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2013-04-18 |