| NPI | 1144577982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV ED0316A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV ED0316A) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |