| NPI | 1104142595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 57965) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 260787) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2020-10-16 |