| NPI | 1245799006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: KY 58910) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME156051) |
| 208M00000X Hospitalist (Licence: FL ME156051) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-06-05 |