| NPI | 1710277538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI MD-18288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD-18288) |
| 207R00000X Internal Medicine (Licence: PA MT198882) | |
| 207R00000X Internal Medicine (Licence: PA MD450306) | |
| 208000000X Pediatrics (Licence: PA MD450306) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT198882) | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2021-07-19 |