| NPI | 1144603374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO NA) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 29315) |
| 207P00000X Emergency Medicine (Licence: FL TRN23500) | |
| 207R00000X Internal Medicine (Licence: MI L808570) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2025-04-11 |