| NPI | 1518314269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2019-01516) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 4003) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2021-11-02 |