NPI | 1215243688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME117293) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ r72304) |
207Q00000X Family Medicine (Licence: FL ME117293) | |
207Q00000X Family Medicine (Licence: AZ 47741) | |
Enumeration Date | 2010-08-24 |
Last Update Date | 2021-03-25 |