| NPI | 1356344048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: GA 031227) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME84500) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2024-01-02 |