| NPI | 1346479599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS11330) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 256412-1) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2020-07-11 |