| NPI | 1073834123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME121103) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI 17787) |
| 207P00000X Emergency Medicine (Licence: GA 072224) | |
| 207P00000X Emergency Medicine (Licence: WV 29447) | |
| 207R00000X Internal Medicine (Licence: MI 4301096759) | |
| 207R00000X Internal Medicine (Licence: FL ME121103) | |
| 207R00000X Internal Medicine (Licence: GA 072224) | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2024-01-05 |