| NPI | 1851370126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 051321) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 51321) |
| 207P00000X Emergency Medicine (Licence: SC 28485) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2024-08-26 |