| NPI | 1255591244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2008008617) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2008008617) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2023-07-27 |