| NPI | 1952448532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 19575) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 19575) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2016-12-09 |