| NPI | 1295027225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 14418) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 14418) |
| 207Q00000X Family Medicine (Licence: SC 14418) | |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2012-06-30 |