| NPI | 1699764183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 48595) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 048595) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2023-03-07 |