| NPI | 1619264959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101255550) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101255550) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2019-11-19 |