| NPI | 1114380938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 3315) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102205509) |
| 207P00000X Emergency Medicine (Licence: NC 2019-02736) | |
| 207Q00000X Family Medicine (Licence: WV 3315) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2021-11-13 |