| NPI | 1891085254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS016703) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS016703) |
| 207Q00000X Family Medicine (Licence: PA OT013979) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2024-10-15 |