| NPI | 1477789402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 249971) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2009012448) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2013-07-01 |