| NPI | 1023422219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2017031163) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT207263) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2021-09-10 |