| NPI | 1891287546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME153921) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME153921) |
| 207Q00000X Family Medicine (Licence: MI 4301115357) | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2023-02-16 |