| NPI | 1164688933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 137869) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 256308) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2018-10-19 |