| NPI | 1780118208 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.149899) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.149899) | 
| Enumeration Date | 2017-04-12 | 
| Last Update Date | 2024-02-18 |