| NPI | 1104952308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MD D0071130) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0071130) |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2021-11-29 |