| NPI | 1114980406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 3780) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 3780) |
| 207Q00000X Family Medicine (Licence: WV 3780) | |
| Enumeration Date | 2006-04-09 |
| Last Update Date | 2023-05-02 |