| NPI | 1386204915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME172745) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME172745) |
| 207Q00000X Family Medicine (Licence: MI 4351045083) | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2025-04-03 |