| NPI | 1679780274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME112779) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME112779) |
| 207Q00000X Family Medicine (Licence: OH 35.094978) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2021-03-30 |