| NPI | 1255525358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 268635) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 60245880) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2022-07-21 |