| NPI | 1235542549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0024060) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 295146) |
| 208M00000X Hospitalist (Licence: DE C1-0024060) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2021-05-11 |