| NPI | 1265938757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2021-01062) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 319162) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2022-09-14 |