| NPI | 1003955279 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME168894)  | 
| Additional Taxonomies | 208D00000X General Practice (Licence: CO DR.0039597)  | 
| 207Q00000X Family Medicine (Licence: FL ME168894)  | |
| 207Q00000X Family Medicine (Licence: CO DR.0039597)  | |
| 208M00000X Hospitalist (Licence: CO DR.0039597)  | |
| 208M00000X Hospitalist (Licence: OK pending)  | |
| 208M00000X Hospitalist (Licence: MN 68526)  | |
| Enumeration Date | 2007-02-05 | 
| Last Update Date | 2024-09-05 |