| NPI | 1639219520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 4600) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 223354) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2011-04-27 |