| NPI | 1407057508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2010-00721) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2010-00721) |
| 208D00000X General Practice (Licence: NC 2010-00721) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2024-06-21 |