| NPI | 1174897441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD458576) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 281031) |
| 208M00000X Hospitalist (Licence: NY 281031) | |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2017-10-19 |