| NPI | 1649372970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN D0719) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TN D0719) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-06-01 |