| NPI | 1326141938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 22010) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 22010) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-10-27 |