| NPI | 1487066759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME133009) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 927-L) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2023-03-09 |