| NPI | 1669484291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS7394) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: FL OS7394) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2021-11-09 |