| NPI | 1871544148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA 70014532) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0054736) |
| 202D00000X Integrative Medicine (Licence: TX W6853) | |
| 207P00000X Emergency Medicine (Licence: WY 7204A) | |
| 207R00000X Internal Medicine (Licence: WY 7204A) | |
| 202D00000X Integrative Medicine (Licence: WY 7204A) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2026-07-21 |