| NPI | 1003922014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 10845) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 10845) |
| 207V00000X Obstetrics & Gynecology (Licence: MT 10845) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |