| NPI | 1447448311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 24680) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 24680) |
| 207Q00000X Family Medicine (Licence: FL ME158143) | |
| 207Q00000X Family Medicine (Licence: ME MD19122) | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2024-04-29 |