| NPI | 1326006164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO DR.0046701) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 78231) |
| 208D00000X General Practice (Licence: AK No5740) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2016-04-29 |