| NPI | 1760439038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0002096) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C10002096) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2013-04-10 |