| NPI | 1154781748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101262954) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101262954) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2024-04-07 |