| NPI | 1790279255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 3708) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 3708) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2022-12-01 |