| NPI | 1821345463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO182287) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 2837) |
| 207R00000X Internal Medicine (Licence: WV ED0324A) | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2017-08-29 |