| NPI | 1548572944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101018618) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101018618) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2012-01-03 |