| NPI | 1568853844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 31779) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 153944) |
| 207QS0010X Family Medicine Sports Medicine (Licence: OH 35.139188) | |
| 208M00000X Hospitalist (Licence: FL ME153944) | |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2024-01-18 |