| NPI | 1760423172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME 95438) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01045784A) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-05-24 |