| NPI | 1982049805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 53455) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 277109) |
| 207Q00000X Family Medicine (Licence: CT 53455) | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2019-01-02 |