| NPI | 1861561482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 21846) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2016018644) |
| 207R00000X Internal Medicine (Licence: NV 21846) | |
| 208D00000X General Practice (Licence: MO 2016018644) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2022-01-28 |