| NPI | 1225529530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101267412) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA 182757) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2026-07-21 |