| NPI | 1073831392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042-0017250) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 338382) |
| 207P00000X Emergency Medicine (Licence: AL MD.31447) | |
| 208000000X Pediatrics (Licence: AL MD.31447) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2025-09-15 |