| NPI | 1174719322 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME107219) | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN 11568) | 
| 208M00000X Hospitalist (Licence: FL ME107219) | |
| Enumeration Date | 2007-09-21 | 
| Last Update Date | 2025-02-24 |