| NPI | 1972790483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME 2151) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 2151) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME 2151) | |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2015-01-06 |