| NPI | 1689696254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX F7626) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX f7626) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2008-05-08 |