| NPI | 1043258098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PR 15706) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15706) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2011-03-03 |