| NPI | 1982022976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0102205314) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101020889) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2018-06-19 |