| NPI | 1609156975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME110263) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME110263) |
| 282N00000X General Acute Care Hospital (Licence: FL ME110263) | |
| 282NC0060X General Acute Care Hospital, Critical Access (Licence: FL ME110263) | |
| 282NR1301X General Acute Care Hospital, Rural (Licence: FL ME110263) | |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2023-11-15 |