| NPI | 1417230806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 61358) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 270810-1) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2018-09-13 |