| NPI | 1194005058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS13345) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL UO2786) |
| 208D00000X General Practice (Licence: FL UO2786) | |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2019-04-25 |