| NPI | 1982862082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD158584) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OR MD158584) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2026-03-30 |