| NPI | 1174813455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 257815) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 257815) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2015-07-22 |