| NPI | 1043294382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 200400333) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 200400333) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2024-02-15 |