| NPI | 1811686611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 12776) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 12776) |
| 363A00000X Physician Assistant (Licence: GA 12776) | |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2025-01-22 |