| NPI | 1750720314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 73123) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME128322) |
| 208M00000X Hospitalist (Licence: OR MD207114) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2023-01-17 |