| NPI | 1093826851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 26852) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: VA 0101059274) |
| 207Q00000X Family Medicine (Licence: VA 0101059274) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-12-12 |