| NPI | 1790924439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME110406) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME110406) |
| 207R00000X Internal Medicine (Licence: FL ME 110406) | |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2020-12-16 |