| NPI | 1245264829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL me100482) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 41007) |
| 207Q00000X Family Medicine (Licence: GA 056137) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2014-01-23 |