| NPI | 1043575392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 289613) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL os15707) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2023-03-30 |