| NPI | 1699918573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: WI 55281-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 55281-20) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2024-01-24 |