| NPI | 1699860627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 18436) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 014756) |
| 207Q00000X Family Medicine (Licence: MA 254079) | |
| 208M00000X Hospitalist (Licence: ME 014756) | |
| 208M00000X Hospitalist (Licence: NH 18436) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-10-19 |