| NPI | 1609804137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD469554) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0054995) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2022-07-25 |