| NPI | 1710472873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME157917) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301115725) |
| 207Q00000X Family Medicine (Licence: FL ME157917) | |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2024-03-07 |