| NPI | 1306862529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 102053) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MO 102053) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2025-04-15 |