| NPI | 1811274848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0080619) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C1-0011634) |
| 208D00000X General Practice (Licence: MD D0080619) | |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2023-05-08 |