| NPI | 1477723765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2021-00975) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA ot012310) |
| 207P00000X Emergency Medicine (Licence: SC 1633) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2021-04-27 |