| NPI | 1972593820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME82944) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME82944) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2012-12-12 |