| NPI | 1528243805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: AZ 42770) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 42770) |
| 207Q00000X Family Medicine (Licence: ND 11036) | |
| 207Q00000X Family Medicine (Licence: SD 7267) | |
| 207Q00000X Family Medicine (Licence: MN 50846) | |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2015-03-24 |