| NPI | 1588242457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2026-00743) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME170475) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2026-05-13 |