| NPI | 1760473458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 9762) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL os9762) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2024-09-18 |