| NPI | 1386711273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G56510) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G56510) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-12-12 |