| NPI | 1801001227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.202246) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.202246) |
| 207R00000X Internal Medicine (Licence: LA MD.202246) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2013-04-22 |