| NPI | 1285012583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM A224119) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME DO4232) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2026-01-20 |