| NPI | 1003820887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE C1-0010779) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101238717) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2015-04-01 |