| NPI | 1942461678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME112648) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01084017A) |
| 207P00000X Emergency Medicine (Licence: MO 2014021213) | |
| 207P00000X Emergency Medicine (Licence: FL ME112648) | |
| 207P00000X Emergency Medicine (Licence: RI LP01353) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2020-10-14 |