| NPI | 1881631430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 09509R) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 09509R) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: LA 09509R) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2011-02-07 |