| NPI | 1487753323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME73677) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME73677) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2014-12-02 |