| NPI | 1417020660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 13360) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 209720) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2011-01-18 |