| NPI | 1568679736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 45295) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 045295) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-03-30 |