| NPI | 1841238730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME 018779) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 27737) |
| 207Q00000X Family Medicine (Licence: ME 018779) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2011-06-01 |