| NPI | 1669441671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA LA022110) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA MD.022110) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2023-01-27 |