| NPI | 1700306909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME FW9633656) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH RT-3154) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2020-08-27 |