| NPI | 1912344979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102204967) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT015405) |
| 208M00000X Hospitalist (Licence: VA 0102204967) | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2023-12-28 |