| NPI | 1689934630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME124050) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME124050) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2021-03-08 |