| NPI | 1285977710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.207500) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD.207500) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2021-04-07 |