| NPI | 1558676049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD174827) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT197386) |
| 207Q00000X Family Medicine (Licence: OR MD174827) | |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2018-08-17 |