| NPI | 1235209107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 34223) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 34223) |
| 208200000X Plastic Surgery (Licence: NC 34223) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2021-09-30 |