NPI | 1578054029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: ME MD27377) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD27377) |
207Q00000X Family Medicine (Licence: AZ 1908R76809) | |
208M00000X Hospitalist (Licence: MA 2900183) | |
Enumeration Date | 2018-05-21 |
Last Update Date | 2024-04-29 |