| NPI | 1992967467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.099504) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.099504) |
| 208600000X Surgery (Licence: PA MT193296) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2014-09-24 |