| NPI | 1982015012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME134684) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME134684) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2019-10-28 |