| NPI | 1427345123 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 39098) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS17056) | 
| 207Q00000X Family Medicine (Licence: FL OS17056) | |
| Enumeration Date | 2011-07-01 | 
| Last Update Date | 2023-11-20 |