| NPI | 1558650325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME125088) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101255894) |
| 207Q00000X Family Medicine (Licence: FL ME125088) | |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2022-10-03 |