| NPI | 1063833366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL UO3198) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 05-38891) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2024-01-19 |