| NPI | 1487974226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME111268) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2010-00875) |
| 207P00000X Emergency Medicine (Licence: NY 256744-1) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2012-07-05 |