| NPI | 1487683157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 058617) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: GA 058617) |
| 207P00000X Emergency Medicine (Licence: AL DO-860) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-01-13 |