| NPI | 1790713386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101052405) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101052405) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2023-08-10 |