| NPI | 1912600610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME MD30449) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD30449) |
| 207Q00000X Family Medicine (Licence: LA 1912600610) | |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2026-07-13 |