| NPI | 1326201807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD 60249824) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD12945) |
| 207P00000X Emergency Medicine (Licence: NY 60-249781) | |
| Enumeration Date | 2008-07-06 |
| Last Update Date | 2021-06-08 |