| NPI | 1881105955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS022483) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS022483) |
| 207Q00000X Family Medicine (Licence: VA 0116031153) | |
| 207Q00000X Family Medicine (Licence: VA 0102205971) | |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2024-02-06 |