| NPI | 1962441683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS010207L) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: PA OS010207L) |
| 208M00000X Hospitalist (Licence: PA OS010207L) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2022-07-29 |