| NPI | 1902251374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 3370) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 3370) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2024-03-14 |