| NPI | 1972893253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME122729) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME122729) |
| 208000000X Pediatrics (Licence: FL ME122729) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2021-04-26 |