| NPI | 1336395003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.128933) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT198239) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2018-05-18 |