| NPI | 1184894081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101037931) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101037931) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-25 |