| NPI | 1417452087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 77037) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301503567) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-02-16 |