| NPI | 1154621076 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: UT 11247657-1205) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD446308) | 
| 207P00000X Emergency Medicine (Licence: ME MD19700) | |
| Enumeration Date | 2010-10-26 | 
| Last Update Date | 2021-11-08 |