| NPI | 1942479019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 286788) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 286788) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MT191628) | |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2021-05-19 |