| NPI | 1497376289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD482134) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT220079) |
| 207Q00000X Family Medicine (Licence: PA MD482134) | |
| Enumeration Date | 2020-05-03 |
| Last Update Date | 2023-09-05 |