| NPI | 1184986622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME DO2523) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME DO2523) |
| 207Q00000X Family Medicine (Licence: PA OT014541) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2021-09-07 |