| NPI | 1053400812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301080043) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301080043) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-02-20 |