| NPI | 1114288123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME140540) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 275199) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2020-04-03 |