| NPI | 1821374380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 067571) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 067571) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2023-04-10 |