| NPI | 1609891860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 20059024612) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 200500516) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-11-08 |