| NPI | 1811935091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 030023) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 030023) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2012-05-21 |