| NPI | 1174694707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX J0343) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX J0343) |
| 207Q00000X Family Medicine (Licence: TX J0343) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2019-01-31 |