| NPI | 1487737482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME64964) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME64964) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2021-10-05 |