| NPI | 1497793889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 272536-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 272536) |
| 207P00000X Emergency Medicine (Licence: WA OP 60147321) | |
| 207P00000X Emergency Medicine (Licence: VA 0102202109) | |
| 207Q00000X Family Medicine (Licence: CA 20A9322) | |
| 207R00000X Internal Medicine (Licence: CA 20A9322) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2018-03-22 |