| NPI | 1144562554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 306340) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 306340) |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2020-06-25 |