| NPI | 1205161858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME116968) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 12526I) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2013-08-14 |