| NPI | 1972574242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 11913) |
| Additional Taxonomies | 208D00000X General Practice (Licence: SC 11913) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2023-08-11 |