| NPI | 1376953935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 2937751) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 293775-1) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2019-01-29 |