| NPI | 1942863519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 77100) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 77100) |
| 207R00000X Internal Medicine (Licence: NY 314646) | |
| 208M00000X Hospitalist (Licence: NY 314646) | |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2025-10-31 |