| NPI | 1831503010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME125379) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN20142) |
| 208M00000X Hospitalist (Licence: FL ME125379) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2019-01-07 |