| NPI | 1780730424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME127444) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A101296) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2023-12-08 |