| NPI | 1669905204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34.014120) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.014120) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2021-06-23 |