| NPI | 1043956030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2025024651) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AL DO.3423) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2025-07-10 |