| NPI | 1821030867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 30835) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 30835) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2013-11-05 |