| NPI | 1710995394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD451537) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101240173) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2015-04-30 |