| NPI | 1871537050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 32442-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 32442-020) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2017-09-07 |