| NPI | 1194899740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME81444) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME081444) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2016-06-13 |