| NPI | 1760597819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA md436710) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 227541) |
| 207P00000X Emergency Medicine (Licence: CA A105462) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2009-07-01 |