| NPI | 1861122277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 85649) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH R4027) |
| 207Q00000X Family Medicine (Licence: WI 85649) | |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2025-07-30 |