| NPI | 1710097472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 1385368) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 038536) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-06-17 |