| NPI | 1215591987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME153629) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 39196) |
| 207R00000X Internal Medicine (Licence: FL ME153629) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: OK 39196) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: OK 39196) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME153629) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2022-05-19 |