| NPI | 1265791800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 290074) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301109420) |
| 207P00000X Emergency Medicine (Licence: NJ 25MA10730500) | |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2020-10-28 |