| NPI | 1760435648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO R1B00) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R1B00) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-07-20 |