| NPI | 1184988289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 75383) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 279332-1) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2016-06-11 |