| NPI | 1760724694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 282911) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 000000000000000000) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2016-12-01 |