| NPI | 1093891954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M10549) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CT 036119) |
| 207R00000X Internal Medicine (Licence: WA MD00024022) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2010-12-02 |