| NPI | 1912241951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 262050) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB09537000) |
| 208M00000X Hospitalist (Licence: MA 26250) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2020-03-22 |