| NPI | 1275063943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2006-01222) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2006-01222) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |