| NPI | 1235715251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AK 250147) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 250147) |
| Enumeration Date | 2021-03-21 |
| Last Update Date | 2026-07-06 |