| NPI | 1992779185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: UT 9140981-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 33810) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2016-04-28 |