| NPI | 1730771601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 35197) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 35197) |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2025-05-22 |