| NPI | 1114589090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 317438) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS T-3798) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2022-07-13 |