| NPI | 1073652061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT MED-PHYS-LIC-11788) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM 2005-0250) |
| 207Q00000X Family Medicine (Licence: MT 11788) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2025-12-31 |