| NPI | 1194766220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD028249E) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ MA39648) |
| 207R00000X Internal Medicine (Licence: PA MD028249E) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2021-05-12 |