| NPI | 1184157448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61278399) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: AZ 207PP0204X) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-05-01 |