| NPI | 1225094618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 9601561) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 21530) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2022-03-09 |