| NPI | 1255693479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35131451) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35131451) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2020-03-10 |