| NPI | 1528590544 |
|---|---|
| Former Name | JACQUELINE SEVERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.137623) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.137623) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2023-02-07 |