| NPI | 1811296585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NV 15400) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: NV 15400) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2023-09-01 |