| NPI | 1477864601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA ME114667) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME114667) |
| 208D00000X General Practice (Licence: FL TRN14692) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2017-07-05 |