| NPI | 1083841035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 069923) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD446277) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2020-06-01 |