| NPI | 1811956980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: VA 0101056772) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 010106772) |
| 208D00000X General Practice (Licence: VA 0101056772) | |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2024-12-18 |