| NPI | 1578219358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101280609) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101280609) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2025-07-18 |