| NPI | 1184790610 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.49838)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 191026)  | 
| 207P00000X Emergency Medicine (Licence: NC 2022-02833)  | |
| Enumeration Date | 2006-11-27 | 
| Last Update Date | 2024-12-16 |