| NPI | 1184834400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 257830) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301081762) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2019-12-06 |