| NPI | 1952614257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2021-03250) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101018665) |
| 207Q00000X Family Medicine (Licence: MI 5101018665) | |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2022-02-18 |