| NPI | 1063850337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 274242) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: PA MT204907) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2023-05-12 |