| NPI | 1093274011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PA MD478171) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WY 15672A) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-01-17 |