| NPI | 1578121703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5151013647) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5151013647) |
| 207R00000X Internal Medicine (Licence: MI 5151013647) | |
| 207V00000X Obstetrics & Gynecology (Licence: MI 5151013647) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5151013647) | |
| 208600000X Surgery (Licence: MI 5151013647) | |
| 213E00000X Podiatrist (Licence: MI 5151013647) | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |