| NPI | 1902038375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2014015316) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2014015316) |
| 207P00000X Emergency Medicine (Licence: AR E-7010) | |
| 207Q00000X Family Medicine (Licence: AR E-7010) | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2021-04-20 |