| NPI | 1760545537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 95-01512) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 95-01512) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |