| NPI | 1578884706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME114266) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME114266) |
| 208D00000X General Practice (Licence: FL TRN14689) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2023-09-12 |