| NPI | 1114038189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 060539) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.22836) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-04-16 |