| NPI | 1902114846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD445032) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 272841) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2019-08-13 |