| NPI | 1801898416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD.21438) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 21438) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2022-03-23 |