NPI | 1568853844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME153944) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 31779) |
207QS0010X Family Medicine, Sports Medicine (Licence: OH 35.139188) | |
208M00000X Hospitalist (Licence: FL ME153944) | |
Enumeration Date | 2015-02-09 |
Last Update Date | 2024-11-13 |