| NPI | 1942212527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A7649) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A7649) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2017-06-26 |