| NPI | 1780650762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD24375) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 24375) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2008-06-02 |