| NPI | 1780857698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME135846) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 0420011545) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME135846) | |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2024-11-05 |