| NPI | 1427032119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 2140431) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 160480) |
| 207P00000X Emergency Medicine (Licence: VT 0420008624) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2008-07-23 |