| NPI | 1144414368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME137361) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 001842) |
| 207Q00000X Family Medicine (Licence: FL ME137361) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2018-10-24 |