| NPI | 1710946553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 27661) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME118793) |
| 207Q00000X Family Medicine (Licence: CO 44936) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2024-08-14 |