| NPI | 1578128542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 35916R) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 1017909) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2024-09-11 |