| NPI | 1770716938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102202732) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 192120) |
| 207Q00000X Family Medicine (Licence: NC 192120) | |
| 207P00000X Emergency Medicine (Licence: VA 0102202732) | |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2014-03-25 |