| NPI | 1295361459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61373239) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101273857) |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2026-01-05 |