| NPI | 1194108910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME133635) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN21211) |
| 207Q00000X Family Medicine (Licence: FL ME133635) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2023-03-14 |