| NPI | 1295173730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 84030) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT204627) |
| 207P00000X Emergency Medicine (Licence: KY TP338) | |
| 207P00000X Emergency Medicine (Licence: MN 60154) | |
| 207P00000X Emergency Medicine (Licence: KY 51069) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: GA 84030) | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2023-04-27 |