| NPI | 1659363059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: VA 0101243761) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 23308) |
| 207R00000X Internal Medicine (Licence: VA 0101243761) | |
| 207R00000X Internal Medicine (Licence: SC 23308) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2021-03-11 |