| NPI | 1225415367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2017-01995) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2018004022) |
| 208D00000X General Practice (Licence: MO 2018004022) | |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2022-08-29 |