| NPI | 1386846566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.128820) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL TRN10100) |
| 207Q00000X Family Medicine (Licence: OH 35.128820) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2016-12-23 |