| NPI | 1649700675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 72918) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 72918) |
| 207R00000X Internal Medicine (Licence: NJ 25MA12646000) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2025-04-21 |