| NPI | 1801240767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 1014970) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 52699) |
| 207Q00000X Family Medicine (Licence: KY 52699) | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2025-08-04 |