| NPI | 1821155359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 32820) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 32820) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2023-03-07 |