| NPI | 1043208531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2020-02492) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: FL ME0089189) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2024-04-17 |