| NPI | 1013189224 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS11216) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 247696) | 
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL OS11216) | |
| Enumeration Date | 2008-03-27 | 
| Last Update Date | 2023-04-11 |