| NPI | 1659576023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 01715) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101259289) |
| 207P00000X Emergency Medicine (Licence: WA MD00048420) | |
| 207P00000X Emergency Medicine (Licence: KY 45077) | |
| 207Q00000X Family Medicine (Licence: FL ME 97546) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2025-08-15 |