| NPI | 1154374668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS22051) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL PA9102907) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2026-04-22 |