| NPI | 1992822654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS015789) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS015789) |
| 207Q00000X Family Medicine (Licence: ME 2055) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: ME T0762) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2018-10-26 |