| NPI | 1831156850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 52135) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 52135) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2015-01-07 |