| NPI | 1144429465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 50105) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD440448) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD440448) | |
| 208M00000X Hospitalist (Licence: CT 50105) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AR E-6408) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2019-03-05 |