| NPI | 1316502115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD H93500) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H93500) |
| 207Q00000X Family Medicine (Licence: PA OT019029) | |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2023-09-28 |