| NPI | 1659427680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 22241) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 22241) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2018-03-17 |