| NPI | 1710218144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P5379) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 57.015989) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2023-10-07 |