| NPI | 1700307865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: DC ME145586) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 94-09318) |
| 207Q00000X Family Medicine (Licence: FL ME145586) | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2023-04-19 |