| NPI | 1104232479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD21638) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD21638) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2024-10-16 |