| NPI | 1245737659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2022018190) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 311995) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2022-08-15 |