| NPI | 1407877715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME116389) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME116389) |
| 207Q00000X Family Medicine (Licence: OH 35085277) | |
| 208M00000X Hospitalist (Licence: OH 35085277) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-03-03 |