| NPI | 1578744678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 29211) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-063387) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2012-12-21 |