| NPI | 1154429389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 22723) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD17724) |
| 207P00000X Emergency Medicine (Licence: CA G149482) | |
| 207Q00000X Family Medicine (Licence: OR MD17724) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-05-25 |