| NPI | 1205397239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME DO3693) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS023043) |
| 207Q00000X Family Medicine (Licence: ME DO3693) | |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2024-01-31 |