| NPI | 1760445431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 200100696) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NC 200100696) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: NC 200100696) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2026-01-23 |