| NPI | 1336623628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS021456) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS021456) |
| 207Q00000X Family Medicine (Licence: PA OT018907) | |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2022-09-26 |