| NPI | 1770508160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T4849) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-097085) |
| 207P00000X Emergency Medicine (Licence: MO 111366) | |
| 207P00000X Emergency Medicine (Licence: NJ 62808) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-09-27 |