| NPI | 1548217078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2012-00812) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 91932) |
| 207P00000X Emergency Medicine (Licence: MD D63553) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2026-05-07 |