| NPI | 1740306216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2007011569) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2007011569) |
| 207Q00000X Family Medicine (Licence: AK 4645) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2022-09-14 |