| NPI | 1972984201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS018516) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS018516) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2021-05-24 |