| NPI | 1902846264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD036724) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2003010038) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2022-01-27 |