| NPI | 1114953866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 201402491NP-PP) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR 201402491NP-PP) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2020-04-20 |