| NPI | 1437209194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY R1148) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01064768A) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2016-11-18 |