| NPI | 1003267519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 299517) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 101856) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2024-10-15 |