| NPI | 1124482179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 296273) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 8508) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2019-06-28 |