| NPI | 1477896827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2018-02944) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2018-02944) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2021-09-15 |