| NPI | 1649354051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME63457) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME63457) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2021-08-18 |