| NPI | 1013170745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 259216) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY ASO552489648) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2011-09-06 |