| NPI | 1134356090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME147363) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 22765) |
| 207R00000X Internal Medicine (Licence: FL ME120462) | |
| 208000000X Pediatrics (Licence: FL ME120462) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2021-03-18 |