| NPI | 1639100308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 028673) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 28673) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2010-02-02 |