| NPI | 1609914068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC NC9300486) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC NC9300486) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |