| NPI | 1720624000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID PA1831) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 8987) |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2023-12-28 |