| NPI | 1912249756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD215597) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 079324) |
| 207Q00000X Family Medicine (Licence: FL ME127657) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: FL ME127657) | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2023-08-07 |