| NPI | 1689056103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2019016331) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MO 2019016331) |
| Enumeration Date | 2015-06-20 |
| Last Update Date | 2021-12-20 |