NPI | 1912293077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD481535) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.098314) |
207Q00000X Family Medicine (Licence: GA 75070) | |
207Q00000X Family Medicine (Licence: OH 35.098314) | |
Enumeration Date | 2011-06-27 |
Last Update Date | 2025-09-17 |