| NPI | 1235373846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A115551) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: CA A115551) |
| 208D00000X General Practice (Licence: FL ME143362) | |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2025-03-11 |