| NPI | 1922298520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A78650) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A78615) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2018-06-06 |