| NPI | 1194354696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 111746) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD484329) |
| 207R00000X Internal Medicine (Licence: PA MD484329) | |
| 207Q00000X Family Medicine (Licence: GA 111746) | |
| 208000000X Pediatrics (Licence: GA 111746) | |
| 208000000X Pediatrics (Licence: PA MD484329) | |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2026-07-06 |