| NPI | 1083654784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 16160) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PR 16160) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2025-07-24 |