| NPI | 1114171170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101264910) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME103092) |
| 207Q00000X Family Medicine (Licence: PA MD453485) | |
| 207Q00000X Family Medicine (Licence: MD D0102799) | |
| 208M00000X Hospitalist (Licence: PA MD453485) | |
| 208M00000X Hospitalist (Licence: VA 0101264910) | |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2025-05-29 |