| NPI | 1568816205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 38202) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 58435) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2019-12-11 |