| NPI | 1962847459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 267505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267505) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2016-08-10 |