| NPI | 1811200025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 312090) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA FO6578085) |
| 207Q00000X Family Medicine (Licence: PA MD466607) | |
| 207Q00000X Family Medicine (Licence: CT 051733) | |
| 207R00000X Internal Medicine (Licence: CT 051733) | |
| 208M00000X Hospitalist (Licence: NY 312090) | |
| 208M00000X Hospitalist (Licence: CT 051733) | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2022-09-09 |