| NPI | 1962857888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35-146808) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35-146808) |
| 208M00000X Hospitalist (Licence: WV 28973) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2025-09-25 |