| NPI | 1962807495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME136565) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 18914) |
| 207Q00000X Family Medicine (Licence: FL ME136565) | |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2023-03-14 |