| NPI | 1386752962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME101786) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME101786) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2021-03-25 |