| NPI | 1720652456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 344466) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 344466) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2026-07-01 |