| NPI | 1184785453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NM 90182) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM 90182) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2018-05-31 |