| NPI | 1417350364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME145673) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 292679-1) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2022-05-24 |