| NPI | 1205949104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME102787) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-091349) |
| 207Q00000X Family Medicine (Licence: FL ME102787) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2018-03-17 |