| NPI | 1962664755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME108329) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 258351) |
| 207Q00000X Family Medicine (Licence: FL ME108329) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2017-06-29 |