| NPI | 1245556612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 286669) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME 115162) |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2017-04-16 |