| NPI | 1235242272 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301073757) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301073757) | 
| Enumeration Date | 2006-08-16 | 
| Last Update Date | 2010-05-18 |