| NPI | 1912523713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL TRN31319) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME153184) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2022-11-03 |