| NPI | 1639108392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 14371) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 40000) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2009-05-04 |