| NPI | 1285168757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101265831) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101265831) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2024-01-16 |