| NPI | 1790429157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0116036973) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116036973) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2024-07-08 |