| NPI | 1902367022 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 309206) | 
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 309206) | 
| Enumeration Date | 2019-03-29 | 
| Last Update Date | 2024-10-15 |