| NPI | 1093855983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101056632) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 223345-1) |
| 207P00000X Emergency Medicine (Licence: VA 0101056632) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2019-06-01 |