| NPI | 1396122396 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35136144)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35136144)  | 
| 208000000X Pediatrics (Licence: OH 35136144)  | |
| Enumeration Date | 2015-04-29 | 
| Last Update Date | 2019-04-15 |