| NPI | 1457359192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME142657) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 036960) |
| 208M00000X Hospitalist (Licence: FL ME142657) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2021-07-29 |