| NPI | 1255402558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 97-179) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM 97-179) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2012-01-23 |