| NPI | 1255692554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 288581) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 261747) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2022-01-19 |