| NPI | 1962415612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL OS9561) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS9561) |
| 207PE0004X Emergency Medicine Emergency Medical Services (Licence: DE C20006889) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2017-09-27 |