| NPI | 1124274089 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 289112)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 50454)  | 
| 207Q00000X Family Medicine (Licence: WI 19557-875)  | |
| 207Q00000X Family Medicine (Licence: CT 66149)  | |
| 208600000X Surgery (Licence: CT AS2383278-0709)  | |
| 208M00000X Hospitalist (Licence: NY 289112)  | |
| 208M00000X Hospitalist (Licence: SC 37443)  | |
| 208M00000X Hospitalist (Licence: FL ME124797)  | |
| Enumeration Date | 2008-08-12 | 
| Last Update Date | 2024-02-14 |