| NPI | 1144261249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2017-00569) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34006196C) |
| 207Q00000X Family Medicine (Licence: CA 20A10878) | |
| 207Q00000X Family Medicine (Licence: AZ 4361) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-10-18 |