| NPI | 1407804230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 101189) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 101189) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-02-05 |