| NPI | 1366899221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 300556) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 300556) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2019-09-10 |