| NPI | 1982697892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME MD19325) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD19325) |
| 207R00000X Internal Medicine (Licence: NY 204212) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2019-05-16 |