NPI | 1003201872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 308893) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS019665) |
208M00000X Hospitalist (Licence: PA OS019665) | |
Enumeration Date | 2015-03-30 |
Last Update Date | 2024-07-18 |