| NPI | 1457911802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MB11491800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT018992) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-08-18 |