| NPI | 1700806767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.04520R) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 04520R) |
| 207P00000X Emergency Medicine (Licence: LA MD04520R) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2018-04-06 |