| NPI | 1790934230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: MS 11380) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 11380) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2010-01-19 |