| NPI | 1689899684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY C1364) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 67166) |
| 207P00000X Emergency Medicine (Licence: SC 1382) | |
| 207P00000X Emergency Medicine (Licence: TN 5114) | |
| 207Q00000X Family Medicine (Licence: GA 001967) | |
| 207P00000X Emergency Medicine (Licence: MI 001967) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2024-03-21 |