| NPI | 1730524091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D81192) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT203477) |
| 208M00000X Hospitalist (Licence: ME MD27002) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2023-05-02 |