| NPI | 1508144171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301099533) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME131368) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2023-10-20 |