| NPI | 1619276995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 80367) |
| Additional Taxonomies | 208D00000X General Practice (Licence: GA 80367) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2023-01-14 |