| NPI | 1912293077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.098314) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.098314) |
| 207Q00000X Family Medicine (Licence: GA 75070) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2023-05-05 |