| NPI | 1679783476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D68855) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301087570) |
| 207Q00000X Family Medicine (Licence: MD D68855) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-11-24 |