| NPI | 1851317796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101043740) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 28276) |
| 207P00000X Emergency Medicine (Licence: VA 0101043740) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-10-24 |