| NPI | 1295099455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 22916) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL DO.1681) |
| 207Q00000X Family Medicine (Licence: AL DO.1681) | |
| 207Q00000X Family Medicine (Licence: MS 22916) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2021-01-22 |