| NPI | 1063941409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD26867) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 9077) |
| 207Q00000X Family Medicine (Licence: ME MD26867) | |
| 208600000X Surgery (Licence: GA 009077) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2024-08-06 |