| NPI | 1942427802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101016173) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MS 20404) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2010-08-05 |