| NPI | 1669428744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 30113) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 30113) |
| 207PH0002X Emergency Medicine Hospice and Palliative Medicine (Licence: SC 30113) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2022-05-03 |