| NPI | 1164483467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: MO 31321) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 31321) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2014-12-30 |