| NPI | 1285601856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2004035254) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 67022) |
| 207P00000X Emergency Medicine (Licence: MS 24227) | |
| 207P00000X Emergency Medicine (Licence: KY C0980) | |
| 207P00000X Emergency Medicine (Licence: MO 2004035254) | |
| 207P00000X Emergency Medicine (Licence: AL DO-1893) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2025-06-11 |