| NPI | 1700183795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 73008) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 3532) |
| 207P00000X Emergency Medicine (Licence: NY 261139) | |
| 207Q00000X Family Medicine (Licence: WI 3532-320) | |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2024-01-04 |