| NPI | 1326129404 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101239106) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101239106) | 
| Enumeration Date | 2006-10-17 | 
| Last Update Date | 2008-06-26 |