| NPI | 1548684665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA R09885) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SD 14145) |
| 207P00000X Emergency Medicine (Licence: MN 75587) | |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2024-07-31 |