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 | 2025-08-06 |