| NPI | 1740667617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME MD22308) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 209253) |
| 207Q00000X Family Medicine (Licence: ME MD22308) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 209253) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2020-06-24 |