| NPI | 1104889294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: AZ 17601) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 17601) |
| 208D00000X General Practice (Licence: AZ 17601) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2014-07-02 |