| NPI | 1356317929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GU EMTL-2020-019) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX M1039) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2020-12-17 |