| NPI | 1235588476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL TRN23732) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.38116) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2021-04-22 |