| NPI | 1629335914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 262666) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 262666) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2016-05-20 |