| NPI | 1043221732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC MD042495) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE 346) |
| 207Q00000X Family Medicine (Licence: MD D71852) | |
| 207P00000X Emergency Medicine (Licence: NY 248663) | |
| 207P00000X Emergency Medicine (Licence: MD D71852) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2021-12-14 |