| NPI | 1750455150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AK 3184) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 3184) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2011-12-21 |