| NPI | 1508874173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2021-1054) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101238036) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2023-02-02 |