| NPI | 1063480200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME MD16747) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME 016747) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2013-11-01 |