| NPI | 1790258051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME156232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME156232) |
| 208D00000X General Practice (Licence: PR 021145) | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2024-04-05 |