| NPI | 1467900118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PR 22310) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 22310) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2022-03-11 |