| NPI | 1508814021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 64292) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35-087528) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2018-08-23 |