| NPI | 1376648667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: SC 1017) |
| Additional Taxonomies | 208D00000X General Practice (Licence: SC 1017) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2023-08-01 |