| NPI | 1306809207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME114629) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 047765) |
| 207P00000X Emergency Medicine (Licence: GA 047765) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2023-03-07 |