| NPI | 1962717108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME167409) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-40557) |
| 207R00000X Internal Medicine (Licence: IA MD-40557) | |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2025-04-22 |