| NPI | 1750366837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 35586) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC TL35586) |
| 208D00000X General Practice (Licence: CA A83998) | |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2021-05-27 |