| NPI | 1780212555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2025-02219) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME MD27321) |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2025-09-04 |