| NPI | 1154367316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 1042) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WV 1042) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2007-11-29 |