| NPI | 1205821691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME91816) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 57454) |
| 207Q00000X Family Medicine (Licence: FL ME91816) | |
| 208M00000X Hospitalist (Licence: IN 01060073A) | |
| 207Q00000X Family Medicine (Licence: IN 01060073A) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2025-09-12 |