| NPI | 1174819502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR DO188065) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT014451) |
| 207P00000X Emergency Medicine (Licence: OR DO188065) | |
| 207R00000X Internal Medicine (Licence: PA OT014451) | |
| 207R00000X Internal Medicine (Licence: OR DO188065) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2022-09-27 |