| NPI | 1972647832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 9501076) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 9501076) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-08 |