| NPI | 1033558630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 312453) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 312453) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2023-08-25 |