| NPI | 1255533881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS10823) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 238186-1) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2012-09-10 |