| NPI | 1700089059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME120429) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME120429) |
| 207R00000X Internal Medicine (Licence: PA MT189872) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2021-03-30 |