NPI | 1194091694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301111922) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME122064) |
208M00000X Hospitalist (Licence: MI 4301111922) | |
Enumeration Date | 2012-03-29 |
Last Update Date | 2022-07-14 |