| NPI | 1366889909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2021016294) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2014014696) |
| 207P00000X Emergency Medicine (Licence: IA MD-44341) | |
| 207R00000X Internal Medicine (Licence: IA R-9673) | |
| 207R00000X Internal Medicine (Licence: MO 2021016294) | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2022-09-14 |