| NPI | 1750122834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL F06240267) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: AL F06240267) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |