| NPI | 1528320991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2012017897) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA MD-42701) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2022-04-13 |