| NPI | 1073905097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 337924) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 337924) |
| 207Q00000X Family Medicine (Licence: LA 327102) | |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2023-10-06 |