| NPI | 1497868392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 173477-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 851734771205) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2021-11-02 |