| NPI | 1134351067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME106299) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036120379) |
| 207Q00000X Family Medicine (Licence: FL ME106299) | |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2021-03-11 |