| NPI | 1952807398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA12081800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 69102-20) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-05-14 |