| NPI | 1972685170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI 10178) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI 10178) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2018-06-07 |