| NPI | 1548206980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101052792) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101052792) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2008-12-27 |