| NPI | 1912954397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI LC066993) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI LC066993) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2025-09-11 |