| NPI | 1710288253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS015749) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT013421) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2022-04-21 |