| NPI | 1265413629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ND 11106) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 3612) |
| 207Q00000X Family Medicine (Licence: AR E-0416) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2018-12-18 |