| NPI | 1386621837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME80127) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME0080127) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2024-02-28 |