| NPI | 1063602332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2014-00642) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 245424) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2022-10-18 |