| NPI | 1366886954 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PR 019842)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 283288)  | 
| Enumeration Date | 2013-04-25 | 
| Last Update Date | 2022-07-25 |