| NPI | 1114285624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.129285) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 49918) |
| 207R00000X Internal Medicine (Licence: MN 60015) | |
| 208M00000X Hospitalist (Licence: OH 35.129285) | |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2022-04-06 |