| NPI | 1285651802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 15129) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-078549) |
| 207P00000X Emergency Medicine (Licence: SC 15129) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2016-12-04 |