| NPI | 1346335254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 285-320) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WY 6969A) |
| 207R00000X Internal Medicine (Licence: ME MD22847) | |
| 207R00000X Internal Medicine (Licence: OH 35.053893) | |
| 207R00000X Internal Medicine (Licence: IL 36143235) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-12-04 |