| NPI | 1699087916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD450378) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND TRL11538) |
| 207Q00000X Family Medicine (Licence: PA MD450378) | |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2022-10-01 |