| NPI | 1730749052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME155568) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2025-03751) |
| 208M00000X Hospitalist (Licence: NC 2025-03751) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2025-12-05 |