| NPI | 1053501775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 54123) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 045567) |
| 207P00000X Emergency Medicine (Licence: NY 248348) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2016-10-31 |