| NPI | 1568990869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA DO-05714) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT017594) |
| 207P00000X Emergency Medicine (Licence: PA OS020150) | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2023-12-29 |