| NPI | 1730328816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2011-00171) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2011-00171) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2011-11-04 |