| NPI | 1992806368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME0080803) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q1169) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2022-08-25 |