| NPI | 1780179929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME152700) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN27510) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2022-09-17 |