NPI | 1225650856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 201347) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA11860100) |
Enumeration Date | 2020-05-18 |
Last Update Date | 2025-09-02 |