| NPI | 1104052091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 38690) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD450084) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2020-10-15 |