NPI | 1083054035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME124947) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME124947) |
208M00000X Hospitalist (Licence: IN 01082996A) | |
Enumeration Date | 2013-07-04 |
Last Update Date | 2022-11-17 |