| NPI | 1073939898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101263921) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 29033) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2024-07-24 |