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 |