| NPI | 1700455649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL TRN33052) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME158933) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2023-01-31 |