| NPI | 1093196339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME133741) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN 21209) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2026-01-08 |