| NPI | 1053385070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME107260) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 213325) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2014-09-08 |