| NPI | 1093815722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 21418) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 21418) |
| 207Q00000X Family Medicine (Licence: FL ME96736) | |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2025-08-27 |