| NPI | 1669765541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME130395) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME130395) |
| 207R00000X Internal Medicine (Licence: PA MD453595) | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2021-07-14 |