| 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 |