| NPI | 1639669641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 24678) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME MD25027) |
| 207Q00000X Family Medicine (Licence: ID MRM-1720) | |
| 207Q00000X Family Medicine (Licence: ME MD25027) | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2023-10-13 |