NPI | 1528277324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME120643) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME120643) |
208M00000X Hospitalist (Licence: VA 0101247892) | |
207Q00000X Family Medicine (Licence: VA 0101247892) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2024-07-30 |