| NPI | 1649323551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 21864) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 44034) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2014-09-11 |