| NPI | 1780970566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2020013709) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MO 2020013709) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2024-04-25 |