| NPI | 1841678216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 69031) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 69031) |
| 207Q00000X Family Medicine (Licence: PA OT016339) | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2024-12-04 |