| NPI | 1851354872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OR MD17993) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD17993) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2012-09-06 |