| NPI | 1790723906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101044351) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101-044351) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2009-05-07 |