| NPI | 1063874303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 84296) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME154724) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2023-11-14 |