| NPI | 1255894283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 327625) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MT 143212) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2024-07-23 |