| NPI | 1245275437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 16458) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 234393) |
| 207Q00000X Family Medicine (Licence: CT 043399) | |
| 207Q00000X Family Medicine (Licence: MA 234393) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2022-07-21 |