| NPI | 1396453262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL APRN11021141) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC APRN11021141) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |