| NPI | 1457349862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PA MD417936) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD417936) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2024-02-14 |