| NPI | 1528429537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME145560) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 19376) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2021-03-24 |