| NPI | 1518992072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 9701263) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC NC9701263) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2016-03-18 |