| NPI | 1043693484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME136809) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA getp.201486) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2020-03-18 |