| NPI | 1326421876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 312261) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT016723) |
| 208M00000X Hospitalist (Licence: LA 312261) | |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2022-02-04 |