| NPI | 1932152543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO R1K72) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO R1K72) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-05-24 |