| NPI | 1417927740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101239748) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL FL ME 86810) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2012-11-02 |