| NPI | 1003153784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2016-01101) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NC 2016-01101) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2023-05-22 |