| NPI | 1114157062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 20818) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME MD28849) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2024-11-27 |