NPI | 1568403665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME107254) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07583700) |
208M00000X Hospitalist (Licence: FL ME107254) | |
Enumeration Date | 2006-06-09 |
Last Update Date | 2019-01-04 |