| NPI | 1710477377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD474798) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT214977) |
| 207Q00000X Family Medicine (Licence: PA MD474798) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2021-08-06 |