| NPI | 1154350965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101046726) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 9800006) |
| 208000000X Pediatrics (Licence: NC 9800006) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2012-04-18 |