| NPI | 1164876520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME138891) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME138891) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2021-03-29 |