| NPI | 1710989579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34005492) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34005492) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2019-04-01 |