| NPI | 1992750947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101057910) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101057910) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2018-12-03 |