| NPI | 1396984043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2011-01042) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 259341) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2016-08-16 |