| NPI | 1588977193 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SD 9116)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301097098)  | 
| 207R00000X Internal Medicine (Licence: MI 5315046547)  | |
| Enumeration Date | 2010-07-24 | 
| Last Update Date | 2022-02-02 |