| NPI | 1023438512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME132410) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 336250) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2024-07-18 |