| NPI | 1730469230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PR 18279) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18279) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2024-02-15 |