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 |