| NPI | 1982056800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME142777) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME142777) |
| 207Q00000X Family Medicine (Licence: NE 7845) | |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2019-11-14 |