| NPI | 1982678579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-8093) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M8093) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2019-04-16 |