| NPI | 1164685111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A133382) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN12609) |
| 207Q00000X Family Medicine (Licence: FL ME108674) | |
| 208M00000X Hospitalist (Licence: FL ME108674) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2015-05-27 |