| NPI | 1376770404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 202934) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 202934) |
| 207P00000X Emergency Medicine (Licence: WV 24936) | |
| 207Q00000X Family Medicine (Licence: WV 24936) | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2025-08-07 |