| NPI | 1578500146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 23116) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 19103) |
| 207Q00000X Family Medicine (Licence: MS 19103) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-04-01 |