| NPI | 1639164437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.095742) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD427516) |
| 207Q00000X Family Medicine (Licence: OH 35.095742) | |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2023-05-05 |