| NPI | 1477577096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 0015252) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PR 15252) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |