| NPI | 1184639981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME90147) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME90147) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2014-10-30 |