| NPI | 1912008368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101013117) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101013117) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-07-21 |