| NPI | 1366609547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301111525) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01069152A) |
| 207R00000X Internal Medicine (Licence: IL 125-053063) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2023-11-05 |